| Cross Island Medical Llc | |
|
13525 79th St Howard Beach NY 11414-1010 | |
| (917) 903-3885 | |
| Not Available |
| Full Name | Cross Island Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13525 79th St, Howard Beach, New York |
| Authorized Official Name and Position | Himanshu Pandya (PRESIDENT) |
| Authorized Official Contact | 9179033885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cross Island Medical Llc 13525 79th St Howard Beach NY 11414-1010 Ph: (917) 903-3885 | Cross Island Medical Llc 13525 79th St Howard Beach NY 11414-1010 Ph: (917) 903-3885 |
| NPI Number | 1285290775 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 06/04/2020 |
| Medicare PECOS PAC ID | 0547682114 |
|---|---|
| Medicare Enrollment ID | O20200629000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285290775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Girish Bulsara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043298052 PECOS PAC ID: 4284538158 Enrollment ID: I20031121000608 |
| Provider Name | Himanshu Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003896929 PECOS PAC ID: 3870558182 Enrollment ID: I20041129000664 |
| Provider Name | Mathew A Mani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972603108 PECOS PAC ID: 3678602166 Enrollment ID: I20100520001048 |
| Provider Name | Oluwatoyin Alonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467883819 PECOS PAC ID: 0244462687 Enrollment ID: I20140417000009 |
| Provider Name | Deepak Ramanathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306261086 PECOS PAC ID: 0749406759 Enrollment ID: I20140729000770 |
| Provider Name | Nichole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186120 PECOS PAC ID: 4688903057 Enrollment ID: I20190910002480 |
| Provider Name | Jennifer B Crayner Aryee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396166237 PECOS PAC ID: 8921388117 Enrollment ID: I20191212001701 |
| Provider Name | Seolhee So |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548805179 PECOS PAC ID: 4880023597 Enrollment ID: I20200401000828 |
| Provider Name | Nancy Candio Duplessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949022 PECOS PAC ID: 3678904786 Enrollment ID: I20200505001972 |
| Provider Name | Samantha L Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023617131 PECOS PAC ID: 2264848787 Enrollment ID: I20210309000677 |
Cross Bay Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15905 92nd St, Howard Beach, NY 11414 Phone: 718-835-3636 Fax: 718-835-0897 | |
Functional Wellness Medical Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16055 Cross Bay Blvd, Unit A, Howard Beach, NY 11414 Phone: 718-210-4738 Fax: 888-498-4123 | |
Thomas I. Lecher, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15636 Crossbay Blvd, Second Floor, Suite G, Howard Beach, NY 11414 Phone: 718-843-3366 Fax: 718-323-3248 | |
Daniel A. Riegel, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14916 80th St, Howard Beach, NY 11414 Phone: 718-845-4844 | |
Medical Care Of Ny, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 78-15 Linden Boulevard, Unit B, Howard Beach, NY 11414 Phone: 718-674-7896 | |
Advanced Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9407 156th Ave, Howard Beach, NY 11414 Phone: 718-641-7180 Fax: 718-641-7326 |